不良孕产史患者焦虑状态研究  

Research of anxiety disorder in patients with abnormal pregnancy history

作　　者：吕巍[1] 曹欣冬[2] 周衡 

机构地区：[1]首都医科大学附属北京妇产医院遗传与代谢实验室,北京100026 [2]首都医科大学附属北京安定医院中医科,北京100088 [3]首都医科大学附属北京天坛医院神经内科,北京100050

出　　处：《首都医科大学学报》2013年第5期752-755,共4页Journal of Capital Medical University

摘　　要：目的了解不良孕产史患者中焦虑的发生率及其发生的相关因素。方法采用汉密尔顿焦虑量表(hamilton anxiety scale,HAMA),按照评分标准≥14分为焦虑状态,对首都医科大学附属北京妇产医院遗传咨询门诊2012年4月至2013年6月就诊不良孕产史患者156例进行评估。结果①156例遗传咨询门诊患者中71例存在焦虑,发生率为45.5%;②经分析患者年龄、教育程度、生活环境(城市或乡村)、收入、有否发育异常共计5个因素与焦虑的关系,发现患者年龄与是否焦虑,差异有统计学意义(P=0.008),即随年龄增加发生焦虑的风险增加,且年龄大于35周岁者更容易焦虑。患者所受教育程度也与焦虑发生有关(P=0.028),学历高者更易焦虑。结论有接近半数的不良孕产史患者存在焦虑情绪,特别是高龄和高学历患者。作为遗传咨询门诊医生需注意识别患者的焦虑情绪并加以心理疏导。Objective To investigate the prevalence of anxiety disorder in patients with abnormal pregnancy history and its correlation factors. Methods From April 2012 to June 2013, 156 patients with abnormal pregnancy history from our genetic consultation outpatient clinic were evaluated by psychological clinic doctors, using Hamilton Anxiety Scale （HAMA）. Patients whose score were above 14 （including 14） were diagnosed as anxiety. Results （1）Seventy-one of 156 （45.5%） cases were diagnosed as anxiety. （2）To compare the following 5 factors with the onsets of anxiety, that is, patients＇ age, educational level, living environment （rural or urban） , incomes, with/ without development ＇abnormalities. The results showed patients＇ age was significantly relevant to anxiety（ P = 0. 008）, that is, the incidence of anxiety was increased with patients＇ age. Furthermore, Patients over 35 years-old are more likely to have anxiety mood. Educational level is another factor related to anxiety （ P = 0. 028 ）. Patients with higher educational background are more likely to have anxiety mood. Conclusion Nearly half of patients with abnormal pregnancy background have anxiety mood, especially elderly patients. A genetic consultation doctor should pay more attention to identify patients＇ anxiety disorders and give them professional psychological therapy.

关 键 词：焦虑 不良孕产史 遗传咨询 

分 类 号：R749.72[医药卫生—神经病学与精神病学]